| NPI | 1801035902 |
|---|---|
| Other Name | GERIATRIC PSYCHIATRIC SERVICES IN MD GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT CLEMENTE Manager 248-619-9771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0805X |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |